Individual provider · Type 1 NPI

Merlyn Bonilla, LMT

Massage Therapist · Glastonbury, CT

NPI number 1376265264 Active

Practice location

730 Hebron Ave Ste 3
Glastonbury, CT 06033-5016

Call (860) 410-4490 Map

Fax (860) 410-4492

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11012 (CT)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1376265264

Merlyn Bonilla, LMT's National Provider Identifier is 1376265264, issued on Sep 16, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glastonbury, CT. The record was last updated on Sep 16, 2022.